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General NPI Number Information
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NPI Number | 1033720388
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Entity Type | Individual
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Provider Name | EMILY KELLOGG PHD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 1849 W MAIN ST APT 4
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City | HOUSTON
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State | TX
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Zip | 77098-3533
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Country | US
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Telephone | 607-437-5114
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 38391
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License Number State | TX
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